Early colorectal cancer in a flat adenoma

Gowri Balachandar, Eugene A Trowers

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A 56-year-old man presented with intermittent rectal bleeding of six months' duration. Colonoscopy revealed three left colon polyps, one of which harbored adenocarcinoma. Endoscopic mucosal resection (band-assisted colonoscopic polypectomy) was successful. Endoscopic ultrasonography did not demonstrate any local or regional spread; however, abdominal computed tomography (CT) scan raised suspicion of an isolated metastasis to the liver. The patient's mother had recently died from metastatic colorectal cancer. When presented with the options of no surgery, postendoscopic mucosal resection, and CT-directed needle biopsy of the suspected isolated metastasis to the liver versus segmental resection of the flat adenoma site and wedge resection of the liver lesion for the maximum chance of a surgical cure, the patient opted for the surgical approach. Histopathology revealed no evidence of malignancy in the rectosigmoid colon, pericolonic lymph, or liver specimen. Awareness of increased risk of early cancer in flat adenomas with central depression is important because prompt recognition can lead to curative therapy.

Original languageEnglish (US)
Pages (from-to)631-632
Number of pages2
JournalJournal of the National Medical Association
Volume91
Issue number11
StatePublished - Nov 1999
Externally publishedYes

Fingerprint

Adenoma
Colorectal Neoplasms
Liver
Colon
Tomography
Neoplasm Metastasis
Endosonography
Needle Biopsy
Lymph
Colonoscopy
Polyps
Neoplasms
Adenocarcinoma
Mothers
Hemorrhage
Therapeutics

Keywords

  • Adenomas
  • Cancer
  • Polyps

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Early colorectal cancer in a flat adenoma. / Balachandar, Gowri; Trowers, Eugene A.

In: Journal of the National Medical Association, Vol. 91, No. 11, 11.1999, p. 631-632.

Research output: Contribution to journalArticle

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